| Herman Gonzalez, AAS | |
|
20 Community Ln, Liberty, NY 12754-2851 | |
| (845) 292-8770 | |
| (845) 292-4206 |
| Full Name | Herman Gonzalez |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 20 Community Ln, Liberty, New York |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679755672 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Herman Gonzalez, AAS Po Box 12, Swan Lake, NY 12783-0012 Ph: (845) 292-8770 | Herman Gonzalez, AAS 20 Community Ln, Liberty, NY 12754-2851 Ph: (845) 292-8770 |
Sherry Feins-travis, CASAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 20 Community Ln, Liberty, NY 12754 Phone: 845-292-8770 Fax: 845-292-4298 | |
Ms. Lorraine A Holder, CASAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 20 Community Ln, Liberty, NY 12754 Phone: 845-292-8770 Fax: 845-292-4206 | |
Edgar Correa, CASAC-T Counselor Medicare: Not Enrolled in Medicare Practice Location: 20 Community Ln, Liberty, NY 12754 Phone: 845-292-8770 | |
Doris M Castro, CASAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 20 Community Ln, Liberty, NY 12754 Phone: 845-292-8770 Fax: 845-292-4206 | |
Eric Dana Boles, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 20 Community Ln, Liberty, NY 12754 Phone: 845-292-8770 Fax: 845-292-4298 | |
Mr. James Weiner, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 6 Wierk Ave, Liberty, NY 12754 Phone: 845-295-4100 | |
Mr. Mark A Mason, Counselor Medicare: Not Enrolled in Medicare Practice Location: 20 Community Ln, Liberty, NY 12754 Phone: 845-292-8770 Fax: 845-513-2110 |